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Journal of Behavioral Medicine
Gepubliceerd in:

01-06-2011

Perceived risk for cancer in an urban sexual minority

Auteurs: Jack E. Burkhalter, Jennifer L. Hay, Elliot Coups, Barbara Warren, Yuelin Li, Jamie S. Ostroff

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2011

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Abstract

Lesbians, gay men, and bisexuals are a sexual minority experiencing elevated cancer risk factors and health disaparites, e.g., elevated tobacco use, disproportionate rates of infection with human immunodeficiency virus. Little attention has been paid to cancer prevention, education, and control in sexual minorities. This study describes cancer risk perceptions and their correlates so as to generate testable hypotheses and provide a foundation for targeting cancer prevention and risk reduction efforts in this high risk population. A cross-sectional survey of affiliates of a large urban community center serving sexual minority persons yielded a study sample of 247 anonymous persons. The survey assessed demographics, absolute perceived cancer risk, cancer risk behaviors, desired lifestyle changes to reduce cancer risk, and psychosocial variables including stress, depression, and stigma. Univariate and multivariate nonparametric statistics were used for analyses. The sample was primarily white non-Hispanic, middle-aged, and > 80% had at least a high school education. Mean values for absolute perceived cancer risk (range 0–100% risk), were 43.0 (SD = 25.4) for females, and for males, 49.3 (SD = 24.3). For females, although the multivariate regression model for absolute perceived cancer risk was statistically significant (P < .05), no single model variable was significant. For men, the multivariate regression model was significant (P < .001), with endorsement of “don’t smoke/quit smoking” to reduce personal cancer risk (P < .001), and greater number of sexual partners (P = .054), positively associated with absolute perceived risk for cancer. This study provides novel data on cancer risk perceptions in sexual minorities, identifying correlates of absolute perceived cancer risk for each gender and several potential foci for cancer prevention interventions with this at-risk group.
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Literatuur
American Cancer Society. (2009). Cancer facts & figures 2009. American Cancer Society.
Boehmer, U. (2002). Twenty years of public health research: Inclusion of lesbian, gay, bisexual, and transgender populations. American Journal of Public Health, 92(7), 1125–1130.PubMedCrossRef
Bord, R. J. (1997). The gender gap in environmental attitudes: The case of perceived vulnerability to risk. Social Science Quarterly, 78(4), 830–840.
Bowen, D., Boehmer, U., & Russo, M. (2007). Cancer and sexual minority women. In I. H. Meyer & M. E. Northridge (Eds.), The health of sexual minorities: Public health perspectives on lesbian, gay, bisexual and transgender population (pp. 523–538). New York: Springer.
Bowen, D. J., Ludman, E., Press, N., Vu, T., & Burke, W. (2003). Achieving utility with family history: Colorectal cancer risk. American Journal of Preventive Medicine, 24(2), 177–182.PubMedCrossRef
Bowen, D. J., Powers, D., & Greenlee, H. (2006). Effects of breast cancer risk counseling for sexual minority women. Health Care for Women International, 27(1), 59–74.PubMedCrossRef
Bratt, O., Damber, J. E., Emanuelsson, M., Kristoffersson, U., Lundgren, R., Olsson, H., et al. (2000). Risk perception, screening practice and interest in genetic testing among unaffected men in families with hereditary prostate cancer. European Journal of Cancer, 36(2), 235–241.PubMedCrossRef
Bunge, E. M., van den Bergh, K. A., Essink-Bot, M. L., van Klaveren, R. J., & de Koning, H. J. (2008). High affective risk perception is associated with more lung cancer-specific distress in CT screening for lung cancer. Lung Cancer, 62(3), 385–390.PubMedCrossRef
Burkhalter, J. E., Springer, C. M., Chhabra, R., Ostroff, J. S., & Rapkin, B. D. (2005). Tobacco use and readiness to quit smoking in low-income HIV-infected persons. Nicotine & Tobacco Research, 7(4), 511–522.CrossRef
Burkhalter, J. E., Warren, B., Shuk, E., Primavera, L., & Ostroff, J. S. (2009). Intention to quit smoking among lesbian, gay, bisexual, and transgender smokers. Nicotine & Tobacco Research, 11(11):1312–1320.CrossRef
Burman, B., & Margolin, G. (1992). Analysis of the association between marital relationships and health problems: An interactional perspective. Psychological Bulletin, 112(1), 39–63.PubMedCrossRef
Carroll, N. M. (1999). Optimal gynecological and obstetric care for lesbians [clinical commentary]. Obstetrics and Gynecology, 93(4), 611–613.PubMedCrossRef
Chin-Hong, P. V., Vittinghoff, E., Cranston, R. D., Browne, L., Buchbinder, S., Colfax, G., et al. (2005). Age-related prevalence of anal cancer precursors in homosexual men: The EXPLORE study. Journal of the National Cancer Institute, 97(12), 896–905.PubMedCrossRef
Chin-Hong, P. V., Vittinghoff, E., Cranston, R. D., Buchbinder, S., Cohen, D., Colfax, G., et al. (2004). Age-specific prevalence of anal human papillomavirus infection in HIV-negative sexually active men who have sex with men: The EXPLORE study. Journal of Infectious Diseases, 190(12), 2070–2076.PubMedCrossRef
Cochran, S. D., Ackerman, D., Mays, V. M., & Ross, M. W. (2004). Prevalence of non-medical drug use and dependence among homosexually active men and women in the US population. Addiction, 99(8), 989–998.PubMedCrossRef
Cochran, S. D., Mays, V. M., & Sullivan, J. G. (2003). Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States. Journal of Consulting and Clinical Psychology, 71(1), 53–61.PubMedCrossRef
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396.PubMedCrossRef
Cohen, S., & Williamson, G. (1988). Perceived stress in a probability sample in the United States. In S. Spacapan & S. Oskamp (Eds.), The social psychology of health. Newbury Park, CA: Sage.
Coker, A. L., Bond, S. M., & Pirisi, L. A. (2006). Life stressors are an important reason for women discontinuing follow-up care for cervical neoplasia. Cancer Epidemiology, Biomarkers and Prevention, 15(2), 321–325.PubMedCrossRef
Comstock, G. W., & Helsing, K. J. (1976). Symptoms of depression in two communities. Psychological Medicine, 6(4), 551–563.PubMedCrossRef
Cummings, K. M., Becker, M. H., & Maile, M. C. (1980). Bringing the models together: An empirical approach to combining variables used to explain health actions. Journal of Behavioral Medicine, 3(2), 123–145.PubMedCrossRef
Daling, J. R., Madeleine, M. M., Johnson, L. G., Schwartz, S. M., Shera, K. A., Wurscher, M. A., et al. (2004). Human papillomavirus, smoking, and sexual practices in the etiology of anal cancer. Cancer, 101(2), 270–280.PubMedCrossRef
Dean, L., Meyer, I. H., Robinson, K., Sell, R. L., Sember, R., Silenzio, V. M. B., et al. (2000). Lesbian, gay, bisexual, and trangender health: Findings and concerns. Journal of the Gay and Lesbian Medical Association, 4(3), 102–151.CrossRef
Dibble, S. L., Roberts, S. A., & Nussey, B. (2004). Comparing breast cancer risk between lesbians and their heterosexual sisters. Womens Health Issues, 14(2), 60–68.PubMedCrossRef
Diefenbach, M. A., Weinstein, N. D., O’Reilly, J., et al. (1993). Scales for assessing perceptions of health hazard susceptibility. Health Education Research, 8(2), 181–192.PubMedCrossRef
Engels, E. A., Biggar, R. J., Hall, H. I., Cross, H., Crutchfield, A., Finch, J. L., et al. (2008). Cancer risk in people infected with human immunodeficiency virus in the United States. International Journal of Cancer, 123(1), 187–194.CrossRef
Frable, D. E., Wortman, C., & Joseph, J. (1997). Predicting self-esteem, well-being, and distress in a cohort of gay men: The importance of cultural stigma, personal visibility, community networks, and positive identity. Journal of Personality, 65(3), 599–624.PubMedCrossRef
Fraumeni, J. F. Jr., Curtis, R. E., Edwards, B. K., & Tucker, M. A. (2006). Introduction. In R. E. Curtis, D. M. Freedman, E. Ron, L. A. G. Ries, D. G. Hacker, B. K. Edwards, M. A. Tucker, J. F. Jr. Fraumeni (Eds), New malignancies among cancer survivors: SEER Cancer Registries, 1973–2000. National Cancer Institute; Bethesda, MD. IH Publ. No. 05-5302.
Frisch, M., Glimelius, B., van den Brule, A. J., Wohlfahrt, J., Meijer, C. J., Walboomers, J. M., et al. (1997). Sexually transmitted infection as a cause of anal cancer. New England Journal of Medicine, 337(19), 1350–1358.PubMedCrossRef
Frisch, M., Smith, E., Grulich, A., & Johansen, C. (2003). Cancer in a population-based cohort of men and women in registered homosexual partnerships. American Journal of Epidemiology, 157(11), 966–972.PubMedCrossRef
Gay and Lesbian Medical Association. (2001). Healthy people 2010 companion document for lesbian, gay, bisexual, and transgender (LGBT) health. San Francisco, CA: Gay and Lesbian Medical Association.
Gritz, E. R., Vidrine, D. J., Lazev, A. B., Amick, B. C., 3rd, & Arduino, R. C. (2004). Smoking behavior in a low-income multiethnic HIV/AIDS population. Nicotine & Tobacco Research, 6(1), 71–77.CrossRef
Gruskin, E. P., Hart, S., Gordon, N., & Ackerson, L. (2001). Patterns of cigarette smoking and alcohol use among lesbians and bisexual women enrolled in a large health maintenance organization. American Journal of Public Health, 91(6), 976–979.PubMedCrossRef
Hammond, J., Salamonson, Y., Davidson, P., Everett, B., & Andrew, S. (2007). Why do women underestimate the risk of cardiac disease? A literature review. Australian Critical Care, 20(2), 53–59.PubMedCrossRef
Harper, G. W., & Schneider, M. (2003). Oppression and discrimination among lesbian, gay, bisexual, and transgendered people and communities: A challenge for community psychology. American Journal of Community Psychology, 31(3–4), 243–252.PubMedCrossRef
Hastie, T. J. (1993). Generalized additive models. In J. M. Chambers & T. J. hastie (Eds.), Statistical models in S (pp. 249–307). New York: Chapman & Hall.
Hastie, T. J., & Tibshirani, R. J. (1990). Generalized additive models. New York: Chapman and Hall.
Herek, G. M., Cogan, J. C., & Gillis, J. R. (2000). Psychological well-being and commitment to lesbian, gay, and bisexual identities. Paper presented at the Paper presented in G. M. Herek (Chair), Identity, community, and well-being among lesbians, gay men, and bisexuals, Washington, D.C.
Herek, G. M., Gillis, J. R., & Cogan, J. C. (2009). Internalized stigma among sexual minority adults: Insights from a social psychological perspective. Journal of Counseling Psychology, 56(1), 32–43.CrossRef
Ihaka, R., & Gentleman, R. (1996). R: A language for data analysis and graphics. Journal of Computational and Graphical Statistics, 5(3), 299–314.CrossRef
Jacobsen, P. B., Valdimarsdottir, H. B., Brown, K. L., & Offit, K. (1997). Decision-making about genetic testing among women at familial risk for breast cancer. Psychosomatic Medicine, 59(5), 459–466.PubMed
Kiecolt-Glaser, J. K., & Newton, T. L. (2001). Marriage and health: His and hers. Psychological Bulletin, 127(4), 472–503.PubMedCrossRef
Klein, W. M. P., & Stefanek, M. (2007). Cancer risk elicitation and communication: Lessons from the psychology of risk perception. CA: A Cancer Journal for Clinicians, 57(3), 147–167.CrossRef
Klesges, R. C., Somes, G., Pascale, R. W., Klesges, L. M., Murphy, M., Brown, K., et al. (1988). Knowledge and beliefs regarding the consequences of cigarette smoking and their relationships to smoking status in a biracial sample. Health Psychology, 7(5), 387–401.PubMedCrossRef
Koblin, B. A., Husnik, M. J., Colfax, G., Huang, Y., Madison, M., Mayer, K., et al. (2006). Risk factors for HIV infection among men who have sex with men. AIDS, 20(5), 731–739.PubMedCrossRef
Lee, J. G. L., Griffin, G. K., & Melvin, C. L. (2009). Tobacco use among sexual minorities in the USA, 1987 to May 2007: A systematic review. Tobacco Control, 18(4), 275–282.PubMedCrossRef
Lipkus, I. M. (2007). Numeric, verbal, and visual formats of conveying health risks: Suggested best practices and future recommendations. Medical Decision Making, 27(5), 696–713.PubMedCrossRef
Lipkus, I. M., Iden, D., Terrenoire, J., & Feaganes, J. R. (1999). Relationships among breast cancer concern, risk perceptions, and interest in genetic testing for breast cancer susceptibility among African-American women with and without a family history of breast cancer. Cancer Epidemiology, Biomarkers and Prevention, 8(6), 533–539.PubMed
Lipkus, I. M., Kuchibhatla, M., McBride, C. M., Bosworth, H. B., Pollak, K. I., Siegler, I. C., et al. (2000). Relationships among breast cancer perceived absolute risk, comparative risk, and worries. Cancer Epidemiology, Biomarkers and Prevention, 9(9), 973–975.PubMed
Lipkus, I. M., Rimer, B. K., Lyna, P. R., Pradhan, A. A., Conaway, M., & Woods-Powell, C. T. (1996). Colorectal screening patterns and perceptions of risk among African-American users of a community health center. Journal of Community Health, 21(6), 409–427.PubMedCrossRef
Loewenstein, G. F., Weber, E. U., Hsee, C. K., & Welch, N. (2001). Risk as feelings. Psychological Bulletin, 127(2), 267–286.PubMedCrossRef
Lyna, P., McBride, C., Samsa, G., & Pollak, K. I. (2002). Exploring the association between perceived risks of smoking and benefits to quitting: Who does not see the link? Addictive Behaviors, 27(2), 293–307.PubMedCrossRef
MaCrae, F. A., Hill, D. J., St. John, D. J., Ambikapathy, A., & Garner, J. F. (1984). Predicting colon cancer screening behavior from health beliefs. Preventive Medicine, 13(1), 115–126.PubMedCrossRef
Mamary, E. M., Bahrs, D., & Martinez, S. (2002). Cigarette smoking and the desire to quit among individuals living with HIV. AIDS Patient Care STDS, 16(1), 39–42.PubMedCrossRef
Marrazzo, J. M., Stine, K., & Koutsky, L. A. (2000). Genital human papillomavirus infection in women who have sex with women: A review. American Journal of Obstetrics and Gynecology, 183(3), 770–774.PubMedCrossRef
McQueen, A., Swank, P. R., Bastian, L. A., & Vernon, S. W. (2008). Predictors of perceived susceptibility of breast cancer and changes over time: A mixed modeling approach. Health Psychology, 27(1), 68–77.PubMedCrossRef
McQueen, A., Vernon, S. W., Meissner, H. I., Klabunde, C. N., & Rakowski, W. (2006). Are there gender differences in colorectal cancer test use prevalence and correlates? Cancer Epidemiology, Biomarkers and Prevention, 15(4), 782–791.PubMedCrossRef
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697.PubMedCrossRef
Meyer, I. H., & Wilson, P. A. (2009). Sampling lesbian, gay, and bisexual populations. Journal of Counseling Psychology, 56(1), 23–31.CrossRef
Nelson, D. E., Kreps, G. L., Hesse, B. W., Croyle, R. T., Willis, G., Arora, N. K., et al. (2004). The health information national trends survey (HINTS): development, design, and dissemination. Journal of Health Communication, 9(5), 443–460. discussion 481.PubMedCrossRef
Ng, D. M., & Jeffery, R. W. (2003). Relationships between perceived stress and health behaviors in a sample of working adults. Health Psychology, 22(6), 638–642.PubMedCrossRef
Niaura, R., Shadel, W. G., Morrow, K., Tashima, K., Flanigan, T., & Abrams, D. B. (1999). Smoking among HIV positive persons. Annals of Behavioral Medicine, 21(Suppl), S116.
Oncken, C., McKee, S., Krishnan-Sarin, S., O’Malley, S., & Mazure, C. M. (2005). Knowledge and perceived risk of smoking-related conditions: A survey of cigarette smokers. Preventive Medicine, 40(6), 779–784.PubMedCrossRef
Palefsky, J. M., Holly, E. A., Ralston, M. L., Arthur, S. P., Jay, N., Berry, J. M., et al. (1998). Anal squamous intraepithelial lesions in HIV-positive and HIV-negative homosexual and bisexual men: prevalence and risk factors. Journal of Acquired Immune Deficiency Syndromes & Human Retrovirology, 17(4), 320–326.CrossRef
Patel, P., Hanson, D. L., Sullivan, P. S., Novak, R. M., Moorman, A. C., Tong, T. C., et al. (2008). Incidence of types of cancer among HIV-infected persons compared with the general population in the United States, 1992–2003. Annals of Internal Medicine, 148(10), 728–736.PubMed
Pirraglia, P. A., Sanyal, P., Singer, D. E., & Ferris, T. G. (2004). Depressive symptom burden as a barrier to screening for breast and cervical cancers. Journal of Women’s Health (Larchmt), 13(6), 731–738.CrossRef
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.CrossRef
Rakovitch, E., Franssen, E., Kim, J., Ackerman, I., Pignol, J. P., Paszat, L., et al. (2003). A comparison of risk perception and psychological morbidity in women with ductal carcinoma in situ and early invasive breast cancer. Breast Cancer Research and Treatment, 77(3), 285–293.PubMedCrossRef
Ramirez-Valles, J. (2002). The protective effects of community involvement for HIV risk behavior: A conceptual framework. Health Education Research, 17(4), 389–403.PubMedCrossRef
Robb, K. A., Miles, A., & Wardle, J. (2004). Demographic and psychosocial factors associated with perceived risk for colorectal cancer. Cancer Epidemiology, Biomarkers and Prevention, 13(3), 366–372.PubMed
Sackoff, J. E., Hanna, D. B., Pfeiffer, M. R., & Torian, L. V. (2006). Causes of death among persons with AIDS in the era of highly active antiretroviral therapy: New York City. Annals of Internal Medicine, 145(6), 397–406.PubMed
Schilling, M. F., Watkins, A. E., & Watkins, W. (2002). Is human height bimodal? The American Statistician, 56(3), 223–229.CrossRef
Shiels, M. S., Cole, S. R., Kirk, G. D., & Poole, C. (2009). A meta-analysis of the incidence of non-AIDS cancers in HIV-infected individuals. Journal of Acquired Immune Deficiency Syndromes, 52(5), 611–622.PubMedCrossRef
Slovic, P., Finucane, M. L., Peters, E., & MacGregor, D. G. (2004). Risk as analysis and risk as feelings: Some thoughts about affect, reason, risk, and rationality. Risk Analysis, 24(2), 311–322.PubMedCrossRef
SPSS Inc. (2006). SPSS for windows (Version 15.0). Chicago: SPSS Inc.
Stall, R., Paul, J. P., Greenwood, G., Pollack, L. M., Bein, E., Crosby, G. M., et al. (2001). Alcohol use, drug use and alcohol-related problems among men who have sex with men: The urban men’s health study. Addiction, 96(11), 1589–1601.PubMedCrossRef
Tseng, H. F., Morgenstern, H., Mack, T. M., & Peters, R. K. (2003). Risk factors for anal cancer: Results of a population-based case–control study. Cancer Causes and Control, 14(9), 837–846.PubMedCrossRef
United States Department of Health and Human Services. (2008). Centers for Disease Control and Prevention National Center for Health Statistics, National Health Interview Survey Questionnaires.
Vernon, S. W. (1999a). Risk perception and risk communication for cancer screening behaviors: A review. Journal of the National Cancer Institute Monographs (25), 101–119.
Watts, B. G., Vernon, S. W., Myers, R. E., & Tilley, B. C. (2003). Intention to be screened over time for colorectal cancer in male automotive workers. Cancer Epidemiology, Biomarkers and Prevention, 12(4), 339–349.PubMed
Weinstein, N. D. (1999). Accuracy of smokers’ risk perception. Nicotine & Tobacco Research, 1(Suppl 1), S123–S130.CrossRef
Weinstein, N. D. (2000). Perceived probability, perceived severity, and health-protective behavior. Health Psychology, 19(1), 65–74.PubMedCrossRef
Weinstein, N. D., Kwitel, A., McCaul, K. D., Magnan, R. E., Gerrard, M., & Gibbons, F. X. (2007). Risk perceptions: Assessment and relationship to influenza vaccination. Health Psychology, 26(2), 146–151.PubMedCrossRef
Weinstein, N. D., Marcus, S. E., & Moser, R. P. (2005). Smokers’ unrealistic optimism about their risk. Tobacco Control, 14(1), 55–59.PubMedCrossRef
Weissman, M., Sholomskas, D., Pottenger, M., Prusoff, B. A., & Locke, B. Z. (1977). Assessing depressive symptoms in five psychiatric populations: A validation study. American Journal of Epidemiology, 106(3), 203–214.PubMed
Zajac, L. E., Klein, W. M., & McCaul, K. D. (2006). Absolute and comparative risk perceptions as predictors of cancer worry: Moderating effects of gender and psychological distress. Journal of Health Communication, 11(Suppl 1), 37–49.PubMedCrossRef
Metagegevens
Titel
Perceived risk for cancer in an urban sexual minority
Auteurs
Jack E. Burkhalter
Jennifer L. Hay
Elliot Coups
Barbara Warren
Yuelin Li
Jamie S. Ostroff
Publicatiedatum
01-06-2011
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2011
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-010-9296-2

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